Peoples Health Online Enrollment Form
Use the form below to enroll in Peoples Health. Medicare beneficiaries may enroll in Peoples Health through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.
If you have any questions about your eligibility to enroll in this plan or about the plan itself, please call to speak with one of our plan representatives at 1-800-978-9765, seven days a week, from 8 a.m. to 8 p.m. TTY users, please call 711. If you are having difficulty completing the form online, call us at the number above, and a plan representative can take your enrollment request over the phone.